1
黃帝曰：夫百病之所始生者，必起于燥濕、寒暑，風雨，陰陽喜怒，飲食、居處，氣合而有形，得藏而有名，余知其然也。夫百病者，多以旦慧，晝安，夕加、夜甚，何也？
黄帝曰：夫百病之所始生者，必起于燥湿、寒暑，风雨，阴阳喜怒，饮食、居处，气合而有形，得藏而有名，余知其然也。夫百病者，多以旦慧，昼安，夕加、夜甚，何也？ Huáng Dì yuē: fū bǎi bìng zhī suǒ shǐ shēng zhě, bì qǐ yú zào shī, hán shǔ, fēng yǔ, yīn yáng xǐ nù, yǐn shí, jū chù, qì hé ér yǒu xíng, dé zàng ér yǒu míng, yú zhī qí rán yě. fū bǎi bìng zhě, duō yǐ dàn huì, zhòu ān, xī jiā, yè shèn, hé yě?
黄帝说：各种病开始发生，必定起于燥湿、寒暑、风雨、阴阳喜怒、饮食、居处，气合而形成为病，得到某脏而有了病名，我知道这些了。各种病多在早晨清爽、白天安静、傍晚加重、夜里厉害，为什么呢？
The Yellow Emperor said: All diseases, when they first arise, must start from dryness and dampness, cold and heat, wind and rain, yin and yang, joy and anger, food and drink, dwelling and rest. Qi combines and takes form; it finds a viscus and takes a name. This I know. But most diseases are clear in the morning, quiet by day, worse at dusk and severe at night. Why?
Qí Bó yuē: sì shí zhī qì shǐ rán.
岐伯说：这是四时之气使它这样的。
Qi Bo said: The qi of the four seasons makes it so.
Huáng Dì yuē: yuàn wén sì shí zhī qì.
黄帝说：愿意听听四时之气。
The Emperor said: I should like to hear about the qi of the four seasons.
4
歧伯曰：春生、夏長、秋收、冬藏，是氣之常也，人亦應之。以一日分爲四時，朝則爲春，日中爲夏，日入爲秋，夜半爲冬。朝則人氣始生，病氣衰，故旦慧；日中人氣長，長則勝邪，故安；夕則人氣始衰，邪氣始生，故加；夜半人氣入藏，邪氣獨居于身，故甚也。
歧伯曰：春生、夏长、秋收、冬藏，是气之常也，人亦应之。以一日分为四时，朝则为春，日中为夏，日入为秋，夜半为冬。朝则人气始生，病气衰，故旦慧；日中人气长，长则胜邪，故安；夕则人气始衰，邪气始生，故加；夜半人气入藏，邪气独居于身，故甚也。 Qí Bó yuē: chūn shēng, xià zhǎng, qiū shōu, dōng cáng, shì qì zhī cháng yě, rén yì yīng zhī. yǐ yī rì fēn wéi sì shí, zhāo zé wéi chūn, rì zhōng wéi xià, rì rù wéi qiū, yè bàn wéi dōng. zhāo zé rén qì shǐ shēng, bìng qì shuāi, gù dàn huì; rì zhōng rén qì zhǎng, zhǎng zé shèng xié, gù ān; xī zé rén qì shǐ shuāi, xié qì shǐ shēng, gù jiā; yè bàn rén qì rù zàng, xié qì dú jū yú shēn, gù shèn yě.
岐伯说：春生、夏长、秋收、冬藏，这是气的常规，人也与之相应。把一天分为四时，早晨是春，中午是夏，日落是秋，半夜是冬。早晨人的气开始生发，病气衰退，所以早晨清爽；中午人的气盛长，盛长就能胜邪，所以安静；傍晚人的气开始衰退，邪气开始生发，所以加重；半夜人的气入藏，邪气独居在身，所以厉害。
Qi Bo said: Spring generates, summer grows, autumn harvests, winter stores — this is the constant of qi, and man likewise answers to it. Divide one day into four seasons: the morning is spring, noon is summer, sunset is autumn, midnight is winter. In the morning man’s qi begins to generate and the qi of disease declines, so one is clear in the morning. At noon man’s qi grows, and growing it overcomes the evil, so one is quiet. At dusk man’s qi begins to decline and the evil qi begins to generate, so one is worse. At midnight man’s qi enters the viscera and the evil qi dwells alone in the body, so one is severe.
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黃帝曰：其時有反者，何也？
黄帝曰：其时有反者，何也？
Huáng Dì yuē: qí shí yǒu fǎn zhě, hé yě?
黄帝说：有时与此相反，为什么呢？
The Emperor said: Sometimes it is the reverse. Why?
6
歧伯曰：是不應四時之氣，藏獨主其病者，是必以藏氣之所不勝時者甚，以其所勝時者，起也。
歧伯曰：是不应四时之气，藏独主其病者，是必以藏气之所不胜时者甚，以其所胜时者，起也。 Qí Bó yuē: shì bù yīng sì shí zhī qì, zàng dú zhǔ qí bìng zhě, shì bì yǐ zàng qì zhī suǒ bù shèng shí zhě shèn, yǐ qí suǒ shèng shí zhě, qǐ yě.
岐伯说：那是不与四时之气相应、由某一脏独自主病的缘故，必定在脏气所不胜的时令加重，在所胜的时令好转。
Qi Bo said: That is because it does not answer to the qi of the four seasons, and a single viscus governs the disease alone. It must be severe in the season that the viscus qi cannot overcome, and rise in the season that it can overcome.
7
黃帝曰：治之奈何？
黄帝曰：治之奈何？
Huáng Dì yuē: zhì zhī nài hé?
黄帝说：治疗它怎样？
The Emperor said: How is it treated?
8
歧伯曰：順天之時，而病可與期。順者爲工，逆者爲麤。
歧伯曰：顺天之时，而病可与期。顺者为工，逆者为麤。
Qí Bó yuē: shùn tiān zhī shí, ér bìng kě yǔ qī. shùn zhě wéi gōng, nì zhě wéi cū.
岐伯说：顺应天时，病就可以预期。顺应的称为良工，违背的称为粗工。
Qi Bo said: Follow the seasons of heaven, and the disease can be timed. One who follows is a skilled craftsman; one who opposes is a coarse one.
9
黃帝曰：善。余聞刺有五變，以主五輸，願聞其數。
黄帝曰：善。余闻刺有五变，以主五输，愿闻其数。 Huáng Dì yuē: shàn. yú wén cì yǒu wǔ biàn, yǐ zhǔ wǔ shū, yuàn wén qí shù.
黄帝说：好。我听说刺法有五变，用来主五输，愿意听听其中的数目。
The Emperor said: Good. I have heard that needling has five changes, by which the five transporting points are governed. I should like to hear their numbers.
10
歧伯曰：人有五藏，五藏有五變，五變有五輸，故五五二十五輸，以應五時。
歧伯曰：人有五藏，五藏有五变，五变有五输，故五五二十五输，以应五时。 Qí Bó yuē: rén yǒu wǔ zàng, wǔ zàng yǒu wǔ biàn, wǔ biàn yǒu wǔ shū, gù wǔ wǔ èr shí wǔ shū, yǐ yìng wǔ shí.
岐伯说：人有五脏，五脏各有五变，五变各有五输，所以五五二十五输，用来对应五时。
Qi Bo said: Man has five viscera; the five viscera have five changes; the five changes have five transporting points. So five times five makes twenty-five transporting points, answering to the five seasons.
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黃帝曰：願聞五變。
黄帝曰：愿闻五变。
Huáng Dì yuē: yuàn wén wǔ biàn.
黄帝说：愿意听听五变。
The Emperor said: I should like to hear the five changes.
12
歧伯曰：肝爲牡藏，其色青，其時春，其音角，其味酸，其日甲乙。
歧伯曰：肝为牡藏，其色青，其时春，其音角，其味酸，其日甲乙。 Qí Bó yuē: gān wéi mǔ zàng, qí sè qīng, qí shí chūn, qí yīn jué, qí wèi suān, qí rì jiǎ yǐ.
岐伯说：肝是牡脏，色青，时令为春，音为角，味为酸，日干为甲乙。
Qi Bo said: The liver is a male viscus; its colour is blue-green, its season spring, its tone jue, its flavour sour, its days jia and yi.
13
心爲牡藏，其色赤，其時夏，其日丙丁，其音徵，其味苦。
心为牡藏，其色赤，其时夏，其日丙丁，其音征，其味苦。 xīn wéi mǔ zàng, qí sè chì, qí shí xià, qí rì bǐng dīng, qí yīn zhǐ, qí wèi kǔ.
心是牡脏，色赤，时令为夏，日干为丙丁，音为徵，味为苦。
The heart is a male viscus; its colour is red, its season summer, its days bing and ding, its tone zhi, its flavour bitter.
14
脾爲牝藏，其色黃，其時長夏，其日戊巳，其音宫，其味甘。
脾为牝藏，其色黄，其时长夏，其日戊巳，其音宫，其味甘。 pí wéi pìn zàng, qí sè huáng, qí shí cháng xià, qí rì wù sì, qí yīn gōng, qí wèi gān.
脾是牝脏，色黄，时令为长夏，日干为戊己，音为宫，味为甘。
The spleen is a female viscus; its colour is yellow, its season late summer, its days wu and ji, its tone gong, its flavour sweet.
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肺爲牝藏，其色白，其音商，其時秋，其日庚辛，其味辛。
肺为牝藏，其色白，其音商，其时秋，其日庚辛，其味辛。 fèi wéi pìn zàng, qí sè bái, qí yīn shāng, qí shí qiū, qí rì gēng xīn, qí wèi xīn.
肺是牝脏，色白，音为商，时令为秋，日干为庚辛，味为辛。
The lung is a female viscus; its colour is white, its tone shang, its season autumn, its days geng and xin, its flavour pungent.
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腎爲牝藏，其色黑，其時冬，其日壬癸，其音羽，其味鹹。是爲五變。
肾为牝藏，其色黑，其时冬，其日壬癸，其音羽，其味咸。是为五变。 shèn wéi pìn zàng, qí sè hēi, qí shí dōng, qí rì rén guǐ, qí yīn yǔ, qí wèi xián. shì wéi wǔ biàn.
肾是牝脏，色黑，时令为冬，日干为壬癸，音为羽，味为咸。这就是五变。
The kidney is a female viscus; its colour is black, its season winter, its days ren and gui, its tone yu, its flavour salty. These are the five changes.
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黃帝曰：以主五輸，奈何？
黄帝曰：以主五输，奈何？ Huáng Dì yuē: yǐ zhǔ wǔ shū, nài hé?
黄帝说：用来主五输，是怎样的？
The Emperor said: How do they govern the five transporting points?
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藏主冬，冬刺井；色主春，春刺榮；時主夏，夏刺輸；音主長夏，長夏刺經；味主秋，秋刺合。是謂五變，以主五輸。
藏主冬，冬刺井；色主春，春刺荣；时主夏，夏刺输；音主长夏，长夏刺经；味主秋，秋刺合。是谓五变，以主五输。 zàng zhǔ dōng, dōng cì jǐng; sè zhǔ chūn, chūn cì xíng; shí zhǔ xià, xià cì shū; yīn zhǔ cháng xià, cháng xià cì jīng; wèi zhǔ qiū, qiū cì hé. shì wèi wǔ biàn, yǐ zhǔ wǔ shū.
脏主冬，冬天刺井穴；色主春，春天刺荥穴；时主夏，夏天刺输穴；音主长夏，长夏刺经穴；味主秋，秋天刺合穴。这就是五变，用来主五输。
The viscera govern winter, and in winter one needles the well points; colour governs spring, and in spring one needles the spring points; the seasons govern summer, and in summer one needles the stream points; tone governs late summer, and in late summer one needles the river points; flavour governs autumn, and in autumn one needles the sea points. These are the five changes governing the five transporting points.
19
黃帝曰：諸原安合，以致六輸？
黄帝曰：诸原安合，以致六输？ Huáng Dì yuē: zhū yuán ān hé, yǐ zhì liù shū?
黄帝说：各原穴怎样配合，才成六输？
The Emperor said: How do the source points combine to make six transporting points?
20
歧伯曰：原獨不應五時，以經合之，以應其數，故六六三十六輸。
歧伯曰：原独不应五时，以经合之，以应其数，故六六三十六输。 Qí Bó yuē: yuán dú bù yìng wǔ shí, yǐ jīng hé zhī, yǐ yīng qí shù, gù liù liù sān shí liù shū.
岐伯说：原穴独不应对五时，用经穴与它相合，以合其数，所以六六三十六输。
Qi Bo said: The source points alone do not answer to the five seasons; join them with the river points to match the number. So six times six makes thirty-six transporting points.
21
黃帝曰：何謂藏主冬，時主夏，音主長夏？味主秋，色主春？願聞其故。
黄帝曰：何谓藏主冬，时主夏，音主长夏？味主秋，色主春？愿闻其故。 Huáng Dì yuē: hé wèi zàng zhǔ dōng, shí zhǔ xià, yīn zhǔ cháng xià? wèi zhǔ qiū, sè zhǔ chūn? yuàn wén qí gù.
黄帝说：什么叫脏主冬、时主夏、音主长夏？味主秋、色主春？愿意听听其中的缘故。
The Emperor said: What is meant by the viscera governing winter, the seasons governing summer, tone governing late summer, flavour governing autumn and colour governing spring? I should like to hear the reason.
22
歧伯曰：病在藏者，取之井；病變于色者，取之滎；病時間時甚者，取之輸；病變于音者，取之經；經滿而血者，病在胃，及以飲食不節得病者，取之於合。故命曰味主合，是謂五變也。
歧伯曰：病在藏者，取之井；病变于色者，取之荥；病时间时甚者，取之输；病变于音者，取之经；经满而血者，病在胃，及以饮食不节得病者，取之于合。故命曰味主合，是谓五变也。 Qí Bó yuē: bìng zài zàng zhě, qǔ zhī jǐng; bìng biàn yú sè zhě, qǔ zhī xíng; bìng shí jiàn shí shèn zhě, qǔ zhī shū; bìng biàn yú yīn zhě, qǔ zhī jīng; jīng mǎn ér xuè zhě, bìng zài wèi, jí yǐ yǐn shí bù jié dé bìng zhě, qǔ zhī yú hé. gù mìng yuē wèi zhǔ hé, shì wèi wǔ biàn yě.
岐伯说：病在脏的，取井穴；病变见于色的，取荥穴；病时轻时重的，取输穴；病变见于音的，取经穴；经满而有血的，病在胃，以及因饮食不节得病的，取合穴。所以命名为味主合，这就是五变。
Qi Bo said: For disease in a viscus, take the well point; for change appearing in the colour, take the spring point; for disease that is sometimes light and sometimes severe, take the stream point; for change appearing in the tone, take the river point; for fullness of the channels with blood, disease in the stomach, and disease from irregular food and drink, take the sea point. Hence it is named flavour governing the sea. These are the five changes.